{"id":22,"date":"2017-08-30T19:12:03","date_gmt":"2017-08-30T19:12:03","guid":{"rendered":"https:\/\/charitablehealth.kaiserpermanente.org\/mid-atlantic\/?page_id=22"},"modified":"2026-04-02T19:17:44","modified_gmt":"2026-04-02T19:17:44","slug":"eligibility","status":"publish","type":"page","link":"https:\/\/charitablehealth.kaiserpermanente.org\/mid-atlantic\/eligibility\/","title":{"rendered":"Eligibility"},"content":{"rendered":"<div class=\"wpb-content-wrapper\">[vc_row center_row=&#8221;yes&#8221; bg_type=&#8221;no_bg&#8221; bg_grad=&#8221;background: -webkit-gradient(linear, left top, left bottom, color-stop(0%, #FBFBFB), color-stop(50%, #E3E3E3), color-stop(100%, #C2C2C2));background: -moz-linear-gradient(top,#FBFBFB 0%,#E3E3E3 50%,#C2C2C2 100%);background: -webkit-linear-gradient(top,#FBFBFB 0%,#E3E3E3 50%,#C2C2C2 100%);background: -o-linear-gradient(top,#FBFBFB 0%,#E3E3E3 50%,#C2C2C2 100%);background: -ms-linear-gradient(top,#FBFBFB 0%,#E3E3E3 50%,#C2C2C2 100%);background: linear-gradient(top,#FBFBFB 0%,#E3E3E3 50%,#C2C2C2 100%);&#8221; bg_image_repeat=&#8221;no-repeat&#8221; bg_image_size=&#8221;cover&#8221; bg_img_attach=&#8221;fixed&#8221; parallax_sense=&#8221;30&#8243; animation_direction=&#8221;left-animation&#8221; animation_repeat=&#8221;repeat&#8221; bg_override=&#8221;0&#8243; parallax_content_sense=&#8221;30&#8243; fadeout_start_effect=&#8221;30&#8243; overlay_pattern_opacity=&#8221;80&#8243; seperator_type=&#8221;none_seperator&#8221; seperator_position=&#8221;top_seperator&#8221; seperator_shape_size=&#8221;40&#8243; seperator_svg_height=&#8221;60&#8243; seperator_shape_background=&#8221;#ffffff&#8221; seperator_shape_border=&#8221;none&#8221; seperator_shape_border_width=&#8221;1&#8243; icon_type=&#8221;no_icon&#8221; icon_size=&#8221;32&#8243; icon_style=&#8221;none&#8221; icon_color_border=&#8221;#333333&#8243; icon_border_size=&#8221;1&#8243; icon_border_radius=&#8221;500&#8243; icon_border_spacing=&#8221;50&#8243; img_width=&#8221;48&#8243; css=&#8221;.vc_custom_1700862366393{background-image: url(https:\/\/charitablehealth.kaiserpermanente.org\/mid-atlantic\/wp-content\/uploads\/sites\/14\/2018\/12\/p_ch_who_is_eligible.jpg?id=229) !important;}&#8221; el_class=&#8221;home-widephoto hero-eligibility&#8221; min_height=&#8221;310px&#8221;][vc_column][\/vc_column][\/vc_row][vc_row center_row=&#8221;yes&#8221; el_class=&#8221;block-gb qualify&#8221;][vc_column width=&#8221;2\/3&#8243;][vc_column_text css=&#8221;&#8221;]\n<h1>Qualify for the Community Health Coverage Program (CHCP)<\/h1>\n<p>You or your family may qualify if you meet these requirements:<\/p>\n<ul>\n<li>You live in the Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. service area, excluding the District of Columbia.<\/li>\n<li>Your household income is no more than 3 times the federal poverty level (for example, up to $46,950 for a single person or $96,450 for a family of 4 in 2025).<\/li>\n<li>You aren\u2019t eligible for other public or private health coverage, such as, but not limited to, Medicaid, Maryland Children\u2019s Health Program, FAMIS, Medicare, an affordable job-based health plan, or financial help through Maryland Health Connection or Virginia&#8217;s Insurance Marketplace.<\/li>\n<li>In most cases, child dependents must be younger than 26.<\/li>\n<li>Individuals over 21 are eligible to receive the CHCP subsidy for a maximum of up to 3 years in a row. Eligible dependents can continue to receive the subsidy until they turn 21, no matter how long they&#8217;ve been in the program.<\/li>\n<li>The CHCP subsidy is available as a one-time resource, and all members must reapply annually. Members who do not reapply in consecutive years will lose future eligibility.<\/li>\n<\/ul>\n<table style=\"border: 1px solid #666666\">\n<tbody>\n<tr>\n<th style=\"padding: 10px\"><b>Household\/Family Size<\/b><\/th>\n<th style=\"padding: 10px\"><b>Monthly Household Income no more than<\/b><strong>*<\/strong><b>:<\/b><\/th>\n<th style=\"padding: 10px\"><b>Annual Household Income no more than*:<\/b><\/th>\n<\/tr>\n<tr style=\"border-bottom: 1px solid #666666;border-top: 1px solid #666666\">\n<td style=\"padding: 10px\">1<\/td>\n<td style=\"padding: 10px\">$3,990<\/td>\n<td style=\"padding: 10px\">$47,880<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 10px\">2<\/td>\n<td style=\"padding: 10px\">$5,410<\/td>\n<td style=\"padding: 10px\">$64,920<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 10px\">3<\/td>\n<td style=\"padding: 10px\">$6,830<\/td>\n<td style=\"padding: 10px\">$81,960<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 10px\">4<\/td>\n<td style=\"padding: 10px\">$8,250<\/td>\n<td style=\"padding: 10px\">$99,000<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 10px\">5<\/td>\n<td style=\"padding: 10px\">$9,670<\/td>\n<td style=\"padding: 10px\">$116,040<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 10px\">6<\/td>\n<td style=\"padding: 10px\">$11,090<\/td>\n<td style=\"padding: 10px\">$133,080<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>*<em>Effective 4\/1\/2026 &#8211; 3\/31\/2027<\/em><\/p>\n<h2>Kaiser Permanente service areas in the Mid-Atlantic<\/h2>\n<p>You must live in a Kaiser Permanente service area to qualify for CHCP. Explore our service areas below.<\/p>\n<ul>\n<li><a href=\"https:\/\/healthy.kaiserpermanente.org\/maryland-virginia-washington-dc\/doctors-locations#\/facility-results?preferredLoc_label=Kaiser\" target=\"_blank\" rel=\"noopener noreferrer\">Click here to see a list of our medical facilities in Mid-Atlantic.<\/a><\/li>\n<\/ul>\n<p>Please note: the program is open in all Kaiser Permanente Mid-Atlantic service areas except Washington, DC.<\/p>\n<p><a name=\"options\"><\/a><\/p>\n<div class=\"hr-blue\"><\/div>\n[\/vc_column_text][vc_column_text css=&#8221;&#8221; el_class=&#8221;calloutbox&#8221;]We review each member\u2019s eligibility for CHCP by regularly sending you a form to confirm household income and other information. If you no longer meet the eligibility requirements, you will be disenrolled from CHCP. You will remain enrolled in the KP MD Gold 0 Ded\/25 Rx Ded\/Vision or KP VA Gold 0 Ded\/Vision plan, but you\u2019ll have to pay the full monthly premiums and out-of-pocket cost unless you ask us to end your membership or until you fail to pay the full premium.[\/vc_column_text][vc_column_text css=&#8221;&#8221;]\n<div class=\"hr-blue\"><\/div>\n<h2>Other Kaiser Permanente coverage options<\/h2>\n<p>If you do not meet the requirements for CHCP, financial help from the government could help you get affordable health coverage for you and your family. Other health coverage options include:<\/p>\n<p><strong>Maryland<\/strong><\/p>\n<ul>\n<li><strong>Consider Medicaid or Maryland Children&#8217;s Health Program. <\/strong>This option may be available if you were born in the United States or are a lawful permanent resident, and your yearly income is at or below 138% of the federal poverty level (for example: $21,597 for an individual or $44,367 for a family of 4 in 2025). Kaiser Permanente is a Medicaid provider and may be available to you. Please visit <a href=\"http:\/\/kp.org\/medicaid\/md\" target=\"_blank\" rel=\"noopener noreferrer\">kp.org\/medicaid\/md<\/a> for more information.<\/li>\n<li><strong>Buy health coverage through Maryland Health Connection.<\/strong> If you qualify, you may get help paying for your plan premiums or out-of-pocket costs. For more information visit <a href=\"http:\/\/marylandhealthconnection.gov\" target=\"_blank\" rel=\"noopener noreferrer\">marylandhealthconnection.gov<\/a>.<\/li>\n<\/ul>\n<p><strong>Virginia<\/strong><\/p>\n<ul>\n<li><strong>Consider Medicaid or FAMIS. <\/strong>\u00a0This option may be available if you were born in the United States, you are a legal permanent resident, and your yearly income is at or below 138% of the federal poverty level (for example: $21,597 for an individual or $44,367 for a family of 4 in 2025). Kaiser Permanente is a Medicaid provider and may be available to you. Please visit <a href=\"http:\/\/kp.org\/medicaid\/va\" target=\"_blank\" rel=\"noopener noreferrer\">kp.org\/medicaid\/va<\/a> for more information.<\/li>\n<li><strong>Buy health coverage through Virginia\u2019s Insurance Marketplace. <\/strong>If you qualify, you may get help paying for your plan premiums or out-of-pocket costs. For more information, visit <a href=\"https:\/\/www.marketplace.virginia.gov\/\" target=\"_blank\" rel=\"noopener noreferrer\">marketplace.virginia.gov<\/a>.<\/li>\n<\/ul>\n<h3>A range of other plans are available<\/h3>\n<p>If you don\u2019t qualify for Medicaid or health benefit exchange plans, we offer plenty of other choices to help you find the best plan for your family. Click <a href=\"https:\/\/individual-family.kaiserpermanente.org\/healthinsurance#1-getaquote\" target=\"_blank\" rel=\"noopener\">here<\/a> to find out which Kaiser Permanente Individual &amp; Family Plan best fits your needs. You can also call us at <strong>1-800-488-3590 <\/strong>(TTY<strong> 711<\/strong>). Please note, you will have to pay a monthly premium for these plans (a health plan\u2019s monthly payment amount).[\/vc_column_text][vc_empty_space][vc_column_text css=&#8221;&#8221;]* Continued eligibility for CHCP is not guaranteed. We reserve the right to close enrollment or change the CHCP eligibility rules at any time. If you are approved for the CHCP subsidy, the subsidy period is limited, and we will contact you in the future to confirm that you still qualify.[\/vc_column_text][\/vc_column][vc_column width=&#8221;1\/3&#8243;]<div class=\"templatera_shortcode\"><div class=\"vc_row wpb_row vc_row-fluid wpex-relative\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\">\n\t<div class=\"wpb_text_column wpb_content_element boxed\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p><b>Questions about CHCP?<\/b><\/p>\n<p>Call us toll-free at<\/p>\n<p><b>1-800-777-7902<\/b> (TTY <b>711<\/b>)<\/p>\n<p>Monday through Friday, from 7:30 a.m. to 9 p.m. Eastern time<br \/>\n(closed major holidays)<\/p>\n<p>Listen to the telephone prompts. A live representative will be available to assist you.<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div><\/div>[\/vc_column][\/vc_row]\n<\/div>","protected":false},"excerpt":{"rendered":"Qualify for the Community Health Coverage Program (CHCP) You or your family may qualify if you meet these requirements: You live in the Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. service area, excluding the District of Columbia. Your household income is no more than 3 times the federal poverty level (for example, up&hellip;","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"inline_featured_image":false,"footnotes":""},"class_list":["post-22","page","type-page","status-publish","hentry","entry","no-media"],"_links":{"self":[{"href":"https:\/\/charitablehealth.kaiserpermanente.org\/mid-atlantic\/wp-json\/wp\/v2\/pages\/22","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/charitablehealth.kaiserpermanente.org\/mid-atlantic\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/charitablehealth.kaiserpermanente.org\/mid-atlantic\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/charitablehealth.kaiserpermanente.org\/mid-atlantic\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/charitablehealth.kaiserpermanente.org\/mid-atlantic\/wp-json\/wp\/v2\/comments?post=22"}],"version-history":[{"count":0,"href":"https:\/\/charitablehealth.kaiserpermanente.org\/mid-atlantic\/wp-json\/wp\/v2\/pages\/22\/revisions"}],"wp:attachment":[{"href":"https:\/\/charitablehealth.kaiserpermanente.org\/mid-atlantic\/wp-json\/wp\/v2\/media?parent=22"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}